Middleware Matters published in March issue of For the Record

A new article entitled “Middleware Matters” Bernoulli Chief Informatics Officer John Zaleski, PhD, CAP CPHIMS was published in the March 2016 issue of For the Record.

Absent universal device standardization, hospitals require middleware. However, critical distinctions will define how those data can be used.

According to John Zaleski –  MDDS middleware will continue to be necessary to pull data from certain classes of medical devices using the vendor’s specification, then translate and communicate them to an EHR, data warehouse, or other information system to support use cases such as clinical charting, clinical decision support, and research. To read the full article online here: www.fortherecordmag.com/archives/0316p28.shtml

For more than a quarter-century, For The Record magazine has been a leading independent resource for industry news and information for Healthcare Information Management (HIM) professionals. For The Record has earned the respect and loyalty of professionals for their in-depth reporting on relevant and timely subjects, including coding, transcription, clinical documentation, EMRs/EHRs, technological innovations, and compliance and privacy concerns.  For the Record has more than 35,000 subscribers.

You can read the full article online here: www.fortherecordmag.com/archives/0316p28.shtml. This link will take you off site.

Virtua: Implementing Capnography in Low Acuity Settings

AAMI Foundation  Safety Innovations

Virtua: Implementing Capnography in Low Acuity Settings

virtua hospital implementing capnography in low acuity settingsIn 2013, the Virtua (1,009 beds across three hospitals) prioritized narcotic safety. The hospital system responded by implementing non-invasive capnography monitoring and continuous pulse oximetry monitoring on medical-surgical units. Capnography is used to measure exhaled end-tidal carbon dioxide (EtCO2) and inhaled carbon dioxide (FiCO2) to determine a patient’s respiratory rate and generate waveforms (i.e., capnograms) of exhaled carbon dioxide over time. However, unlike conventional capnography, which requires patients to be intubated to sample a patient’s inhalations and exhalations, thus restricting its use to critical care areas and operating rooms, non-invasive capnography uses nasal or oral-nasal sampling tubing that is worn over the nose (and sometimes mouth) to collect respiratory data, making it practical for use anywhere in a hospital.

This paper details Virtua’s journey of implementation of non-invasive capnography, highlighting how barriers were overcome, sharing key factors for success, and describing the ongoing challenges of effectively monitoring patients receiving intravenous opioids for pain management.

The capnography monitoring implementation experience at Virtua provides a prototype of how a team, through persistent advocacy, can influence their organization to change practice and leverage its best asset—staff across all disciplines—to improve the quality of patient care.

You can download the report here.